As TAVR Use Expands, Focus Shifts to Standardizing and Streamlining Care (Dr. Sandra Lauck)
A clinical pathway for TAVR patients developed by a team of investigators in Vancouver, Canada—much like similar protocols increasingly being implemented at other centers—signals a shift in focus from the procedure itself to how patients move through the system. The shift comes at a time when procedure volumes are expected to increase as TAVR is offered to lower-risk patients.
The main components of the pathway—which investigators validated retrospectively using data from their own experience—involve risk stratification of patients, a minimalist approach, standardized postprocedural care targeting early mobilization and reconditioning, and criteria to facilitate safe discharge home, all with the overarching goal of minimizing length of stay and improving overall quality of care, according to Sandra Lauck, PhD, RN (St. Paul’s Hospital, Vancouver, Canada), and colleagues.
Creation of the pathway was motivated by a realization that the initial decade of TAVR development was built on the tradition of cardiac surgery and that patients undergoing TAVR required a care pathway tailored to their needs, Lauck told TCTMD.
Todd Neale reports
Ken, cardiac patient